The various Prism Stones scattered about in the first and third sections of the Tomb are meant to lead players to Patches. The pit Patches may kick players into contains the Skull Lantern, Reah of Thorolund, and her now hollowed bodyguards, Vince and Nico.

Patches may attack the player if they answer "Yes" to his question, admitting to being a Cleric.

The enemies in the Tomb deal high damage; in particular, the Skeletal Beasts can kill near-instantaneously with their fast attacks and the Giant Skeletons and their archer counterparts cause heavy knockback, which may cause players to fall off the various precipices to their doom. Thankfully, nearly all the creatures in the Tomb of the Giants have very short aggro range, which means that if players do have a light source (or can see their glowing eyes in the dark) then they can be the first to attack or attempt evasive maneuvers.